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Benign Paroxysmal Positional Vertigo

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5 5. Vestibular rehabilitation therapy e clinician may offer vestibular rehabilitation, either self-administered or with a clinician, in the treatment of BPPV. O-B 6. Medical therapy Clinicians should NOT routinely treat BPPV with vestibular suppressant medications such as antihistamines and/or benzodiazepines. R-C (against) 7a. Outcome Assessment Clinicians should reassess patients within one month aer an initial period of observation or treatment to document resolution or persistence of symptoms. R-C 7b. Evaluation of treatment failure Clinicians should evaluate, or refer to a clinician who can evaluate, patients with persistent symptoms for unresolved BPPV and/or underlying peripheral vestibular or central nervous system disorders. R-A 8. Education Clinicians should educate patients regarding the impact of BPPV on their safety, the potential for disease recurrence and the importance of follow-up. R-C Table 2. Summary of Key Action Statements (KAS) (cont'd) Statement Action Grade

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